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Mind, Body, and Spirit: Family Physicians’ Beliefs, Attitudes, and Practices Regarding the Integration of Patient Spirituality into Medical Care

机译:精神,身体和精神:家庭医生关于将患者精神融入医疗保健的信念,态度和做法

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摘要

This study used a qualitative approach to explore family physicians’ beliefs, attitudes, and practices regarding the integration of patient spirituality into clinical care. Participants included family medicine residents completing training in the Southwest USA. The qualitative approach drew upon phenomenology and elements of grounded-theory. In-depth interviews were conducted with each participant. Interviews were recorded, transcribed and coded using grounded-theory techniques. Four main themes regarding physicians’ attitudes, beliefs, and practices were apparent from the analyses; (1) nature of spiritual assessment in practice, (2) experience connecting spirituality and medicine, (3) personal barriers to clinical practice, and (4) reflected strengths of an integrated approach. There was an almost unanimous conviction among respondents that openness to discussing spirituality contributes to better health and physician–patient relationships and addressing spiritual issues requires sensitivity, patience, tolerance for ambiguity, dealing with time constraints, and sensitivity to ones “own spiritual place.” The residents’ voices in this study reflect an awareness of religious diversity, a sensitivity to the degree to which their beliefs differ from those of their patients, and a deep respect for the individual beliefs of their patients. Implications for practice and education are discussed.
机译:这项研究使用定性方法来探索家庭医生关于将患者的灵性整合到临床护理中的信念,态度和做法。参加者包括在美国西南部完成培训的家庭医学居民。定性方法借鉴了现象学和扎根理论的要素。对每个参与者进行了深入的采访。使用扎根理论的技术对访谈进行记录,转录和编码。从分析中可以明显看出有关医生的态度,信念和实践的四个主要主题。 (1)实践中精神评估的性质,(2)将灵性和医学联系起来的经验,(3)临床实践中的个人障碍,以及(4)体现综合方法的优势。受访者几乎一致认为,公开讨论灵性有助于改善健康状况,并改善医患关系,解决灵性问题需要敏锐,耐心,对模棱两可的容忍度,应对时间限制以及对“自己的灵性位置”的灵敏性。居民在这项研究中的声音反映出他们对宗教多样性的意识,对他们的信仰与患者的信仰差异的敏感性以及对患者个人信仰的深切尊重。讨论了对实践和教育的影响。

著录项

  • 来源
    《Journal of Religion and Health》 |2006年第2期|234-247|共14页
  • 作者单位

    Department of Family Medicine, University of Texas Medical Branch UTMB, 301 University Blvd, Galveston, TX 77555-1123, USA;

    Department of Family Medicine, University of Texas Medical Branch UTMB, 301 University Blvd, Galveston, TX 77555-1123, USA;

    Department of Family Medicine, University of Texas Medical Branch UTMB, 301 University Blvd, Galveston, TX 77555-1123, USA;

    Department of Family Medicine, University of Texas Medical Branch UTMB, 301 University Blvd, Galveston, TX 77555-1123, USA;

    Department of Family Medicine, University of Texas Medical Branch UTMB, 301 University Blvd, Galveston, TX 77555-1123, USA;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    family physicians; spirituality; medicine; integrative care;

    机译:家庭医生;灵性;药物;综合护理;

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